DR. PETER JOHN MORRELL (NPI# 1679809362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679809362 |
Entity Type | Individual |
Full Name | DR. PETER JOHN MORRELL |
Credential | D.O. |
Practice Address |
3560 Delaware St Suite 901 Beaumont TX 77706-3000 |
Practice Telephone | 4098983900 |
Practice Fax Number | 4098983901 |
Mailing Telephone | 4098983900 |
Mailing Fax Number | 4098983901 |
Enumeration Date | 2009-10-30 |
Last Update Date | 2012-08-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | M8197 | TX | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
M8197 | TX | Allopathic & Osteopathic Physicians |
Street Address |
3560 DELAWARE ST SUITE 901 |
City | BEAUMONT |
State | TX |
Zip Code | 77706-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629071915 | Dave S. Carpenter | Dentist | 3560 Delaware St, Ste 1003, Beaumont, TX 77706-3026 | 2005-05-31 |
1780234229 | Morgan Mayeux | Pathology | 3560 Delaware St, Beaumont, TX 77706-3067 | 2019-09-17 |
1033634514 | Lindsey Kathleen Hullett | Internal Medicine | 3560 Delaware St, Beaumont, TX 77706-3067 | 2017-08-07 |
1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
1578947438 | Desiree Rice | Counselor | 3560 Delaware St, Suite 1205, Beaumont, TX 77706-3067 | 2015-07-10 |
1528482486 | Dexter Simmons | Physical Therapist | 3560 Delaware St, Suite# 301, Beaumont, TX 77706-3067 | 2014-02-13 |
1649510694 | Jeniffer Kay Esclovon | Counselor | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2013-02-27 |
1235486036 | Elyse Lynn Brack | Physician Assistant | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3067 | 2012-08-10 |
1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
1255686226 | Beaumont Smile Center, P.a. | Dentist | 3560 Delaware St, Suite 102, Beaumont, TX 77706-3067 | 2012-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558650457 | Dr. Gary E. Vaughn M.d.p.a. | Dermatology | 810 Hospital Dr Ste 240, Beaumont, TX 77701-4654 | 2011-03-31 |
1043458672 | W Edward Collins Md Pa | Dermatology | 3070 College St Ste 208, Beaumont, TX 77701-4688 | 2009-02-04 |
1417195231 | Jana K Nunez-gussman Md Pa | Dermatology | 2929 Calder St Ste 312, Beaumont, TX 77702-1831 | 2009-02-02 |
1942309620 | Norman Chalmers May | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2006-09-21 |
1831197136 | William Allen Gilmore II | Dermatology | 3110 Fannin St, Beaumont, TX 77701-3902 | 2005-07-11 |
1174060677 | Dermatology and Laser Medicine of Southeast Texas Pllc | Dermatology | 350 Pine St, Suite 1438, Beaumont, TX 77701-2437 | 2017-01-23 |
1356891576 | Modern Dermatology Pllc | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2016-10-12 |
1588044978 | Andrew Mcswigan Quinn IIi | Dermatology | 3070 College St Ste 208, Beaumont, TX 77701 | 2015-06-01 |
1295926574 | Peter Scott Nelson | Dermatology | 3030 North St, Suite 430 (beaumont Dermatology & Family Practice), Beaumont, TX 77702-1433 | 2007-08-05 |
1033328315 | Norman C May Md | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2007-05-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.